Risk factors and clinical features of the course of recurrent acute otitis media in children

Vorobyeva M.P.; Karpova E.P.; Tulupov D.A.; Naumov O.G.; Zakharova I.N.

doi:https://doi.org/10.17116/otorino2022870119

Vorobyeva M.P.

Russian Medical Academy for Continuous Professional Education

Karpova E.P.

Tulupov D.A.

Russian Medical Academy for Continuous Professional Education

Naumov O.G.

Russian Medical Academy for Continuous Professional Education

Zakharova I.N.

Russian Medical Academy for Continuous Professional Education

Risk factors and clinical features of the course of recurrent acute otitis media in children

Authors:

Vorobyeva M.P., Karpova E.P., Tulupov D.A., Naumov O.G., Zakharova I.N.

More about the authors

Journal: Russian Bulletin of Otorhinolaryngology. 2022;87(1): 9‑13

DOI: 10.17116/otorino2022870119

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To cite this article:

Vorobyeva MP, Karpova EP, Tulupov DA, Naumov OG, Zakharova IN. Risk factors and clinical features of the course of recurrent acute otitis media in children. Russian Bulletin of Otorhinolaryngology. 2022;87(1):9‑13. (In Russ.)
https://doi.org/10.17116/otorino2022870119

Подписка 2026 Вестник оториноларингологии (Russian Bulletin of Otorhinolaryngology)

Использование инфографики авторами научных работ

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OBJECTIVE

To study the risk factors and the clinical course of RAOM in children.

MATERIAL AND METHODS

148 children (81 boys and 67 girls) from 1 to 14 years old were examined with a diagnosis of recurrent otitis media. The work was carried out in the ENT departments of Pediatric Clinical Hospital No. 13 named after N.F. Filatov, Pediatric Clinical Hospital named after Z.A. Bashlyaeva. The average age of the children was 4.1±1.5 years.

All children underwent a clinical study, a laboratory study on the content of the main metabolite of vitamin D — 25(OH)D₃ (25-hydroxyvitamin D, or calcidiol) in blood serum.

RESULTS

Our clinical examination of children with RAOM allows us to identify the main risk factors for this pathology. Thus, the most significant risk factors for the development of RAOM in children included in the study were: early visits by children to preschool institutions (50.6%), allergic history (39.1%), pathology during pregnancy (28.3%), mixed (38.5%) or artificial (27.7%) feeding in the first year of life, frequent upper respiratory tract diseases (41.2%), burdened heredity in close relatives according to RAOM (33.7%), smoking in the family of one of the parents (65.5%) presence in the family of one more child (34.4%).

CONCLUSION

It was shown that the absolute number of children (96%) with RAOM is characterized by a reduced level of 25(OH) vitamin D in the blood serum, which can increase the likelihood of developing episodes of acute otitis media in children and requires therapeutic correction.

Keywords:

acute otitis media

recurrent acute otitis media

vitamin D

risk factors

children

Authors:

Vorobyeva M.P.

Russian Medical Academy for Continuous Professional Education

Karpova E.P.

Tulupov D.A.

Russian Medical Academy for Continuous Professional Education

Naumov O.G.

Russian Medical Academy for Continuous Professional Education

Zakharova I.N.

Russian Medical Academy for Continuous Professional Education

Received:

01.09.2018

Accepted:

09.04.2019

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References:

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